Provider Demographics
NPI:1336269612
Name:DADE DERMATOLOGY ASSOCIATES INC
Entity Type:Organization
Organization Name:DADE DERMATOLOGY ASSOCIATES INC
Other - Org Name:VITOR WEINMAN, MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VITOR
Authorized Official - Middle Name:FILIPA
Authorized Official - Last Name:WEINMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-445-2941
Mailing Address - Street 1:401 CORAL WAY
Mailing Address - Street 2:SUITE 206
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-4930
Mailing Address - Country:US
Mailing Address - Phone:305-445-2945
Mailing Address - Fax:305-445-7231
Practice Address - Street 1:401 CORAL WAY
Practice Address - Street 2:SUITE 206
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-4930
Practice Address - Country:US
Practice Address - Phone:305-445-2945
Practice Address - Fax:305-445-7231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLH65928Medicare UPIN